DEED OF UNDERTAKING

I, Shi Ajay Rajmohan Laishetty, Age about 17 Years, Occupation Student,

Education XII, Residing at Bldg No. SS6, 4th Floor, 401, Mansarovar, Nr. Varaladevi Lake,
Bhiwandi. Do hereby given an undertaking as under:1)

That I have passed Xth std. Examination through (Name of the School) ALL
SAINTS HIGH SCHOOL is situated in Taluka-Bhiwandi, Dist-Thane, StateMaharashtra.

2)

That I am desires to take admission in Std. XI/XII in Jr. College (Name of the Jr.
College) SCHOLARS Jr. COLLEGE for the Academic Year 2014 2015

3)

That while taking admission, I am required to furnish following documents.

i)*
Certificate in the prescribed Appendix A (for Candidate coming from
outside India)
ii)*
Statement of Marks of the last public Examination / Statement of marks
of std. XIth Examination of the Junior College (Home Exam).
iii)*
Passing Certificate of the last public Examination.
iv)*
School leaving Certificate/Transfer Certificate.
v)*
Migration Certificate in Original (Note - * Delete if not applicable)
vi)*
Report of verification (Pvt. Student only)

4)

That I am also aware that my admission, is provisional and that the Jr. College
shall have every right to assess independently, the truthfulness and correctness
of the documents mentioned at Serial Number (3) of this undertaking. That in
the event, if it is subsequently found out by the Jr. College/Board that the
particulars furnished in the admission form or the documents furnished while
seeking admission are false and fabricated, in that event Jr. College authorities
will have right to take action against me, including right to cancel the admission.

5)

I am also fully aware of the fact that the Jr. College has given me provisional
admission subject to grant of eligibility certificate by the Mumbai Divisional
Board, Vashi, Navi Mumbai 400 703 of Maharashtra State Board of Secondary
and Higher Secondary Education having its Head Office Situated at Bhambhurda
Shivajinagar, Pune 411004.

6)

In case if the Divisional Board rejects my application, submitted through the

Head of the Jr. College for grant of Eligibility Certificate, my admission to the Jr.
College shall stand automatically cancelled.

7)

In case if the Divisional Board grants me Eligibility Certificate with instructions to

furnish certain documents within stipulated period, I hereby undertake to fulfill
the requirement within the stipulated time limit.

8)

I am aware of the fact that, In case, if I fall to furnish the required documents
within the stipulated time I shall not be eligible for admission in the Jr. College
and as such my admission shall stand automatically cancelled.

That I have read the contents of the undertaking and has properly understood the same
and in witness whereof had signed on this Deed of Undertaking on this day of 01 st
November 2014 at Bhiwandi.

_________________________________
(Signature of Guardian or Local Guardian)

_______________________________
(Signature and Name of the Student)